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Austin Peay Promise Scholarship Confirmation Form

You are highly encouraged to participate in a high impact learning experience, designed to transform your perspective and engage you in applying in practice what you learn.  Your academic department may contact you with specific details of this opportunity.  You are also encouraged to enroll full-time for 12 or more hours; however, you may receive the scholarship at a prorated amount should you need to attend less than full-time (6-11 credits).  A full-time student may receive the scholarship for a maximum of four semesters.  The award for a student attending less than full-time will be prorated depending upon the number of hours enrolled.

 The scholarship will be automatically renewed, if the following criteria are met:

If the above requirements are not met, you will not be eligible to retain your scholarship.  After the lapse of one semester, you may appeal the loss of your scholarship.  You may only appeal without waiting one semester if you have had extenuating circumstances, such as medical issues.  If approved, this reinstatement allowance can be exercised only one time, and is contingent upon available funds.

Without receipt of this confirmation form, your award may be revoked.  Please note that this award is contingent upon you receiving your associate's degree (AA, AS, or AAS) prior to enrolling at APSU.

Should begin with "A00"
mm/dd/yyyy
Please include City, State, & ZIP
(xxx) xxx-xxxx
Semester Enrolling at APSU
Acceptance